| NPI | 1841321718 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDITH A CORREGGIO Billing Manager 617-868-7456 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2017-01-12 |